国际医学资讯

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肥胖与复发性腺瘤风险增加相关
Obesity Linked to Increased Risk for Recurrent Adenomas

2010-11-11

肌筋膜物理治疗可能有益于间质性膀胱炎患者
Myofascial PT Appears Beneficial in Patients With Interstiti...

2010-11-11

体重降低过快可能导致特定疾病发生
Rapid Weight Loss May Trigger Risk for Certain Ailments

2010-11-10

代谢综合征与激素治疗联合推高女性的冠心病风险
Metabolic Syndrome Plus HT Up Women’s Coronary Risk

2010-11-10

不同类型的婴儿配方奶可能影响1型糖尿病发病风险
Type of Infant Formula May Alter Later Risk of Type 1 Diabet...

2010-11-10

罗米司亭优于免疫性血小板减少症标准治疗药物
Romiplostim Bests Standard of Care for Immune Thrombocytopen...

2010-11-10

不推荐将他汀类药物用于大多数儿童狼疮患者
Statins Not Recommended for Most Children With Lupus

2010-11-09

冠心病死亡率地区差异较大
U.K. Study: Coronary Deaths Vary by Region

2010-11-09

128

女性成年前遭虐待与成年后罹患糖尿病相关
Abuse in Early Life Is Linked With Adult Diabetes in Women

2010-11-09

非处方止痛药与隐睾症有关联
Nonprescription Painkillers Linked to Undescended Testes

2010-11-08

维生素E、C无预防白内障作用
Vitamins E, C Have No Effect on Cataract Development

2010-11-08

联用PPI和抗血小板药物仅适用于部分病例
Combining PPIs With Antiplatelet Drugs ‘Appropriate’ in Some...

2010-11-08

早期进行血液透析与一年死亡率增加相关
Early Hemodialysis Linked to Greater 1-Year Mortality

2010-11-08

148

质子泵抑制剂的应用与艰难梭菌相关腹泻风险增加80%有关
Proton Pump Inhibitor Use Tied to 80% Increase in Clostridiu...

2010-11-05

研究确证BRAF抑制剂对转移性黑色素瘤有效
Benefits of BRAF Inhibitor Confirmed in Metastatic Melanoma

2010-11-05

卒中病史不会改变达比加群的安全性与有效性
Stroke History Did Not Change Safety, Effectiveness of Dabig...

2010-11-05

使用钙补充剂与心血管疾病发病风险增加相关
Calcium Supplement Use Linked With Higher Cardiovascular Dis...

2010-11-04

英国国家健康与临床优化研究所(NICE)出台新的糖尿病及青光...
NICE Issues Draft Diabetes, Glaucoma Standards

2010-11-04

对重度吸烟者进行CT扫描可使肺癌死亡率降低20%
CT Scans Cut Lung Cancer Deaths by 20% in Heavy Smokers

2010-11-04

196

卡巴拉汀明对急救谵妄无效
Rivastigmine Ineffective for Delirium in Critical Care

2010-11-04

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学会采取行动防止出现下一个“八胞胎母亲”
Societies Take Step to Prevent Future “Octomoms”

2009-10-20

724

Cochrane评价发现中草药有利于糖尿病前期的一些证据
Cochrane Review Finds Abatacept Is Effective for Rheumatoid ...

2009-10-08

722

睾酮补充疗法可使男性心衰患者受益
Testosterone Supplementation Benefits Men With Heart Failure

2009-08-24

711

肿瘤血管阻断剂可延长非小细胞肺癌患者的生存期
Tumor Vascular-Disrupting Agent Extends Survival in NSCLC

2010-01-25

711

4个年龄组接受新型流感疫苗测试
Novel Flu Vaccine Tested in Four Age Groups

2009-10-21

708

三项临床试验证实H1N1疫苗有效
Trio of Clinical Trials Supports H1N1 Vaccine’s Effectivenes...

2009-12-15

707

超声检查可作为替代活检和乳腺X线照相的诊断工具
Ultrasound Deemed Diagnostic Alternative to Biopsy and Mammo...

2009-12-24

705

报告：医院获得性脓毒血症和肺炎是耗费巨大、但可预防的杀手
Report: Nosocomial Sepsis, Pneumonia Are Costly, Preventable...

2010-02-22

701

《柳叶刀》撤消一篇有关疫苗与广泛性发育障碍的文章
Lancet Withdraws Article on Vaccines and Pervasive Developme...

2010-02-02

697

专家视点——心血管疾病的一级预防
Perspective: Primary Prevention of Cardiovascular Disease

2009-11-04

695

多排螺旋CT可显示胃肠穿孔的部位和原因
Multidetector CT Reveals Site and Cause of GI Tract Perforat...

2009-11-17

684

研究显示，Ulipristal用于紧急避孕效果较左炔诺孕酮更...
Ulipristal Acetate More Effective Than Levonorgestrel for Em...

2010-01-29

684

FDA警告使用质子泵抑制剂有骨折风险
FDA Warns on Fracture Risks With Proton Pump Inhibitors

2010-05-25

683

新的检测方法鉴定细菌感染较培养方法更快
New Test Identified Bacterial Infections Faster Than Culture...

2009-12-09

679

美国预期H1N1流感疫苗将于10月2日开始送达接种机构
U.S. Expects H1N1 Flu Vaccine to Reach Providers Starting Oc...

2009-09-16

679

社区获得性艰难梭菌感染可表现为急腹症
Community-Acquired C. difficile Can Present as Acute Abdomen

2009-08-25

675

AACE发布的2型糖尿病治疗法则更侧重于安全性而非治疗成本
AACE Treatment Algorithm for Type 2 Diabetes Emphasizes Safe...

2009-11-03

667

世界卫生组织：在2010年南半球季节性流感疫苗中添加针对大流...
WHO: Add Pandemic Strain to 2010 Southern Hemisphere Seasona...

2009-09-24

664

急诊评分可预测胸痛患者的预后
Emergency Department Score Predicts Outcome in Chest Pain Pa...

2009-09-08

658

日光浴床被归于人类致癌物，使用需严格控制
Sunbeds Declared ‘Carcinogenic to Humans,’ Heavy Regulation ...

2009-07-29

654

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在化疗的基础上加用贝伐单抗可延长卵巢癌及相关癌症的PFS
Bevacizumab Added to Chemotherapy Increases PFS in Ovarian, ...

2010-06-07

178

克里唑蒂尼治疗晚期NSCLC的有效率为57%
Crizotinib Yields 57% Response Rate in Advanced NSCLC

2010-06-07

379

中期分析结果支持阿巴伏单抗用于卵巢癌的治疗
Interim Analysis Supports Abagovomab in Ovarian Cancer

2010-06-07

135

痛风药物可用于心绞痛患者的抗缺血治疗
Gout Drug May Act as an Anti-Ischemic in Angina

2010-06-07

626

卡铂-紫杉醇联合化疗可延长非小细胞肺癌患者的生存期
Carboplatin-Paclitaxel Combo Extends Survival in NSCLC

2010-06-07

199

10mm以下的结直肠息肉恶变率很低
Colorectal Polyps Under 10 mm Show Very Low Malignancy Rate

2010-06-08

199

类固醇可能降低心房纤颤消融术后心律失常的发病率
Steroid May Reduce Post-AF Ablation Arrhythmias

2010-06-08

142

与心脏风险有关的非甾体类抗炎药
NSAIDs Linked to Heart Risks

2010-06-08

376

世界杯开赛在即，受伤球星怎样疗伤？
Injections All the Rage in Football, Whether They Work or No...

2010-06-08

352

骶神经刺激术减轻大便失禁的作用可持续3年之久
Sacral Nerve Stimulation Reduced Fecal Incontinence 3 Years ...

2010-06-09

176

英国国家卫生与临床优化研究所再度否决拉帕替尼
NICE Nixes Lapatinib Again

2010-06-09

189

新指南建议癌症患者运动起来
Guidelines Call for Cancer Patients to Get Moving

2010-06-09

317

新药物为晚期乳腺癌的治疗开辟新途径
Novel Agent Makes Headway in Advanced Breast Cancer

2010-06-09

271

早期H1N1流感防治经验可能有助于遏制未来流感大流行
Early H1N1 Experiences May Help Curb Future Epidemics

2010-06-09

166

欧洲研究提供了更多丙戊酸致畸性的数据
European Study Provides More Data on Teratogenicity of Valpr...

2010-06-09

106

NICE拒绝推荐艾曲波帕用于特发性血小板减少性紫癜的治疗
NICE: No on Eltrombopag for Idiopathic Thrombocytopenic Purp...

2010-06-10

183

腋窝淋巴结清扫术并没有提高早期乳腺癌的生存时间
No Survival Benefit Seen with ALND in Early Breast Cancer

2010-06-10

394

腰硬联合麻醉比硬膜外麻醉能更快地发挥镇痛作用
Early Analgesic Advantage Seen for Combined Spinal-Epidural ...

2010-06-10

229

新发现的心源性猝死风险预测因素
New Predictor of Sudden Cardiac Death Risk Found

2010-06-10

182

PARP抑制剂单药治疗对BRCA阴性的卵巢癌有效
BRCA-Negative Ovarian Cancer Responds to Monotherapy with PA...

2010-06-10

176

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病例分析 [栏目介绍]

甲状腺功能亢进合并黄疸

王燕燕王曙

上海交通大学附属瑞金医院内分泌科

患者，女，69岁。2009年1月无明显诱因下出现乏力，当时程度较轻，未予以重视。2009年3月患者乏力症状加重，尿色逐渐加深，大便习惯改变，颜色变淡。4月18日入我院感染科治疗，诉轻度头晕、心慌，体重减轻10kg。无肝区疼痛，无发热，无腹痛、腹泻、腹胀、里急后重，无恶性、呕吐等。入院半月前于外院就诊，查肝功能：ALT 601IU/L，AST 785IU/L，TBIL 97.7umol/L，白蛋白 41g/L，甲状腺功能：游离T3 30.6pmol/L，游离T4 51.9pmol/L，心电图示快速房颤。

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